Principles of Aesthetic Breast Revision Surgery | Journal CME Article-Journal CME Article: Principles of Aesthetic Breast Revision Surgery (Video 3 of 8)

Journal CME Article: Principles of Aesthetic Breast Revision Surgery (Video 3 of 8)

Video Transcription

Video Summary

This case describes a 47-year-old woman undergoing breast revision surgery for implant visibility, wide cleavage, medial hollowing, and Baker grade 3 capsular contracture. Preoperative markings assess asymmetry and plan a narrower intermammary distance to improve cleavage. Surgery begins with reopening the inframammary incision, removing the old implant, and evaluating the pocket. Partial capsulectomy and capsulotomy release constricted areas while preserving an inferior capsular flap to support a new inframammary fold. A new implant is inserted using a no-touch funnel technique, followed by autologous fat grafting to thicken soft tissue and improve upper pole and parasternal contour.

Keywords

breast revision surgery

capsular contracture

implant visibility

autologous fat grafting

inframammary fold